Individual
DANIELLE DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1600 N 18TH ST, PHILADELPHIA, PA 19121-3232
(215) 400-7310
Mailing address
1600 N 18TH ST, PHILADELPHIA, PA 19121-3232
(215) 400-7310
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW136622
PA
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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